Kimberly Etpison

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

229472 Issued in AZ

Practice address

1205 E Frye Rd
Chandler, AZ 85225

Phone

(480) 812-6302

NPI assigned

Aug 12, 2022

Last updated

Aug 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1780312033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2958 E DUBLIN ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950405",
            "telephone_number": "480-812-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E FRYE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85225",
            "telephone_number": "480-812-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETPISON",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "229472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Vanti Estrada
• Elvira Estrada
• Fiorella Alexandra Estrada, MD
• Mark Antonio Estrada
• Krista Ann Ethington
• Kymla J Eubanks, MT-BC
• Malia-Mary Elizabeth Euler
• Evac LLC
• Aaron Evans, PT, DPT, MS, ATC
• Shauna Evanson, FNP

• Licensed Practical Nurse in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.